E-Newsletter Contract

E-Newsletter Contract

Advertising Information/Contract
Issuance:

January, February, March, May, June, July, August, September, October, December

Circulation: Approximately 2,000 West Coast Member Dentists

Contract Deadlines: 10 days prior to publish date

Cancellation: Ad cancellations will not be accepted after the contract deadline

Advertising Rate: $148.00/per month; Company name, logo, advertisement and link to website

Specs: jpg file 225px 170px tall

Contract and Details
Company Name *
Company Federal ID#
Company Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Contact Name *

First Name Last Name
Direct Phone *

Area Code Phone Number
E-mail *
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Payment Information

Credit Card Payment Options

E-Newsletter Ad $ 148.00

Quantity

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Month/Months to Run:
All advertising is subject to the approval of the editorial staff. The editorial staff reserves the right to reject any advertising and to edit as deemed appropriate. The editorial staff does not assume liability to content of advertising matter. Rates effective January 2018 (subject to revision).
Mail Check Payment:

WCDDA

1114 Kyle Wood Lane

Brandon, FL 33511
Check Amount
Signature

Clear
Questions? Contact the WCDDA at lissette@wcdental.org / (813) 654-2500
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